Displaying 137871-137880 of 1611142 results.
ID:
137871
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1988399
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137872
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137873
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137874
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137875
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137876
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137877
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
863042
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137878
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137879
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137880
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
137871137872137873137874137875137876137877137878137879137880